Information Collection Request

Micro-Finance Project for HIV Prevention

ICR 200707-0920-004 · OMB 0920-0756 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Focus Group Guide for Community Leaders Form and Instruction New Available
Demographics Form for Community Leaders Form and Instruction New Available
Focus Group Guide for Women Form and Instruction New Available
Individual Interview Guide for Women Form and Instruction New Available
Demographics Form for Women Form and Instruction New Available
Screening Form for Women (FL) Form and Instruction New Available
Participant Contact Form Form and Instruction New Available
Screening Form (NC) Form and Instruction New Available
CDC SUPPORTING STATEMENT A and B OMB Oct 2007.doc Supplementary Document Uploaded 2007-10-30 Available
Appendix R - FL IRB microfinance project approval.rtf Supplementary Document Uploaded 2007-06-08 Available
Appendix C-CDC IRB Approval.doc Supplementary Document Uploaded 2007-06-08 Available
Appendix A-Legal Authorization.doc Supplementary Document Uploaded 2007-06-08 Available
Appendix B-60-day FRN.pdf Supplementary Document Uploaded 2007-06-08 Available
SUPPORTING STATEMENT A and B.doc Supporting Statement A Uploaded 2007-06-12 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
181263 Focus Groups with Community Leaders Form and Instruction NewFocus Group Guide for Community Leaders
181263 Focus Groups with Community Leaders Form and Instruction NewDemographics Form for Community Leaders
181262 Focus Groups and Individual Interviews with Women Form and Instruction NewFocus Group Guide for Women
181262 Focus Groups and Individual Interviews with Women Form and Instruction NewIndividual Interview Guide for Women
181262 Focus Groups and Individual Interviews with Women Form and Instruction NewDemographics Form for Women
181261 Screening and Contact with Women Form and Instruction NewScreening Form for Women (FL)
181261 Screening and Contact with Women Form and Instruction NewParticipant Contact Form
181261 Screening and Contact with Women Form and Instruction NewScreening Form (NC)

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
11/30/2008 12 Months From Approved
119 0 0
202 0 0
0 0 0





Reginfo record details
3
table that charts list of burden
IC Title Form No. Form Name
Focus Groups and Individual Interviews with Women None, None, None ,   ,  
Focus Groups with Community Leaders None, None ,  
Screening and Contact with Women None, None, None ,   ,  

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 119 0 0 119 0 0
Annual Time Burden (Hours) 202 0 0 202 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No